MEDICARE: HANNAH L HEBERT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	008625	NY

General Provider Information

NPI Number	:	1265041149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH L HEBERT LMHC

Provider Business Mailing Address
First Line	:	PO BOX 408
Second Line	:
City	:	CAMBRIDGE
State	:	NY
Zip	:	12816-0408
Country	:	US
Telephone Number	:	518-227-1108
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-3904
Country	:	US
Telephone Number	:	518-227-1108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	02/25/2025

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